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Arthritis in Remaining Front Foot
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London, UK


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10 March 2017 - 6:31 am
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Thanks everyone for sharing your thoughts and experience.

Sally, yes Elsie needs X-rays, as her limp, which had improved, has returned sad. She has ‘issues’ both with her left rear leg (the one with the ruptured cruciate) and now with her front right – the one on which she has started limping. I’m definitely going to try the CBD. I think a stoned Pie could be pretty entertaining, just so long as she doesn’t get the munchies… oh-my

CharlieBear, I love the sound of your neurotic neuro-vet, and he seems to understand what an honour it is to be personal physician to Da Bears. And as for your ‘neurosis’, goodness me! If anyone ever had earned the right…  Meg often has both laser and acupuncture in the same session. She has the laser first on her front leg and shoulder, and then the acupuncture after to ease the knots of tension in her spine. If her spine’s not too bad , then she’ll just have the laser.  Elsie usually just has laser on her knee, her back and her dodgy front leg, but if needed she’ll have acupuncture too. I think the acupuncture is more intense. That’s just my impression. They both have an obvious impact on Elsie and Meg (though different dogs do react differently). Before her amp, Meg used to go in limping and come out walking (almost) normally. They also leave her seriously chilled, which is a bonus, although about one session in five, sends her manic instead, which isn’t.

Alison, you don’t need a prescription in the UK to buy CBD oil for dogs; you can buy it quite legally online. I would want to discuss it with my vet though, obviously, to see what they thought and to check that there were no contraindications. It sounds like that’s maybe not the same situation in California. I do know what you mean about fireworks. It’s early November for us, round ‘Guy Fawkes night’. Elsie and Meg are actually fine, completely unbothered by the noise. But my Billie used to sit and tremble, and nothing would console her. You could feel her heart racing in her chest. I have friends whose dogs have similar issues. They’ve tried Zylkene, Adaptil and heaven knows what, but generally they don’t seem to be very effective.

Tina, the Metacam decision was not made on the basis of X-rays, but on clinical examination and close observation of Meg’s movement and behaviour. Every situation is different and obviously you make a decision according to the situation you’re in. In Meg’s case, she has had serious osteo issues for at least five years, and very probably for her whole life. She had bilateral elbow dysplasia, arthritis (end stage in the leg she lost, moderate in the remaining one) and bilateral IOHC (a condition in which the centre of the humerus is hollow instead of solid bone, which places tremendous stress on the joint, and in the case of the leg she lost caused her elbow to spontaneously explode).

As far as I’m concerned, she has already spent far too much of her life in pain, a situation for which I must bear at least a degree of responsibility, as I did not realise how advanced the end stage arthritis had got. I’ll spare you the whole sorry story, but suffice to say that I will NEVER forget Meg’s reaction when we tried her on Metacam (this is pre amp) just to see if it would make a difference. To be clear, she was not at this point showing ANY reluctance to exercise, quite the opposite in fact, she demanded her walks, and often tried to find ways to extend them and she loved above all to chase things (now, of course, I realise, that adrenalin is a highly effective pain killer, back then I thought she must be feeling fine), the single clue was that I thought perhaps she was limping very slightly more at the end of a walk than at the beginning (she’d been left with a permanent mechanical limp after her elbow fracture). One dose of Metacam and she was literally dancing all over the house, getting toys from her toy box and throwing them around, her joy at this sudden relief from the pain I hadn’t even realised she was in was truly heartbreaking.

So, while I obviously do not want to give Meg any more meds than she needs, I will give her whatever she needs for a pain free life today. She has now been on Metacam for more than two years straight (apart from a short period after her amp, when she seemed to be doing fine without it), and so far, her blood tests etc. reveal no negative effect on her system. That may change in the future, I realise, but lots of things may change in the future. Her remaining elbow could explode tomorrow. All I can do is my best to ensure that Meg is pain-free today. That’s my ‘take’, but it is, of course, particular to our specific situation. Re the stomach issue, no, I’ve never given her anything. Perhaps I should? But she’s never had any problems.

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Germany
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10 March 2017 - 6:53 am
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ok, thanks. kind of sounds like Manni pre-amp actually. I could have noticed things sooner, in fact I did, but it was just such tiny little things. I didn’t mean to imply that it’s wrong to put Meg on Metacam, quite the contrary. I am just once more so not sure what I should do. Manni’s ten now so his bouncing through the house days are pretty much over so it’s very hard to tell a big difference with vs. without Metacam.

From my own accident years ago I know first hand how painful all these wrong bio-mechanical set-ups are so I assume amputated humans, dogs, whatevers are in pain occasionally at least. I am just afraid in Manni’ s case that if I put him on constant pain-relief right now with fairly little arthritis I have no room to move once things get worse. -if we even have time left for things to get worse. but no, I obviously don’t want him to be in pain either. so many times on this stupid journey: no matter what you do there’s no right way.

Guardian of Manni the Wonderdog. -Or was it the other way around?
Osteo and amputation in Dec 2015. Second, inoperable, primary osteosarcoma found in June 2017.
The end of our adventures came Dec 10, 2017. 2 years to the day.

Manni's blog -dogblog-

London, UK


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10 March 2017 - 7:08 am
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I agree. That makes total sense. The only way you can really tell is to try both with and without and then see if it makes a difference. If it made very little in Meg’s case, then I’d probably be inclined to do likewise.

 I didn’t mean to imply that it’s wrong to put Meg on Metacam, quite the contrary. I am just once more so not sure what I should do

Oh no! I didn’t take it like that at all. Likewise, I wasn’t trying to suggest that Manni should be on it. It’s so difficult to balance all the different concerns, and at the end of the day, all we can do is make the best decision we can, cross our fingers and hope for the best.

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Virginia




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10 March 2017 - 8:48 am
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HeyClare, just a quick note. I’ve included a link to Maizy’s blog and thought maybe you could give her some of your invaluable insight based kn when Meg injured her shoulder.Maizy is a front leggger who has injured her shoulder (apparently) fairly badly.

Tha ks for all you do here!!

http://missmaiz…..-the-door/

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

London, UK


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11 March 2017 - 4:41 am
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Thanks, Sally. I’ve commented on the thread re Maizy’s shoulder, hope something will prove useful.

CBD oil now ordered. Watch this space… way-cool

M, C & EP xxx

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


London, UK


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9 April 2017 - 1:21 pm
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I was at the point where I thought a decision on life quality would need to be made when we decided to try Adequan injections.  It is expensive and does not work for all dogs, and they also seem to have occasional supply problems.  It worked like magic to Tani!  We started with a loading dose, I think one shot a week? or maybe 2, I can’t remember.  Then it was one shot a month.  I learned how to do the shots at home since she was such a bear at the vet.  We got probable two more years with her because of the injections although the last 8 months or so we were doing shots twice a month. 

I give him adequan injections – liquid glucosamine – that gets into his system much faster than oral supplements.

So we saw the rehab vet yesterday, and I asked her about Adequan and it turns out it’s not licensed for use in dogs in the UK crying

Cartrophen is (though a google suggests this MAY not be licensed in the US? I think it is in Canada?). Does anyone have experience of this? The view of my vet was that as Cartrophen works by stimulating cartilage and there is essentially no cartilage left, there would be little point using it sad Galliprant is also not yet licensed for use in Europe sad

I am now using CBD oil for both Meg and Elsie, and so far so good. Above all, we are having a lovely blast of unseasonably warm, dry weather and this has a very obvious positive effect on the mobility of both my girls. (Meg is rather too hot though, if it weren’t for those bloomers… #justsaying)

Thanks again for your input.

Meg, Clare and Elsie Pie xxx

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Virginia




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9 April 2017 - 3:36 pm
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Well, the only input I jave is about Meg being too hot in her bloomers!
Nice try Mom! The votes have already been counted long ago and Meg gets tomkeep her Bloomers! 🙂 🙂 🙂

Here ya’ go Meg. A way to keep your bloomers from getting too hot! 🙂

Screenshot_2017-04-09-17-25-41-1_zpsnrfmcokc-2.jpgImage Enlarger

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

London, UK


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10 April 2017 - 3:52 am
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laughing laughing laughing

Sally, you totally crack me up!

And those are PROPER MEGABLOOMERS too, truly the genuine voluminous article.

Okay, so I now have a mission in life…. how to get a good breeze blowing up the Megastar’s bloomers.

Watch this space. 

heart

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Germany
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10 April 2017 - 5:09 am
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We have bloomers, too, so if you find a way, let me know 🙂

whatever happened to my favourite: the Hops Formular?

Guardian of Manni the Wonderdog. -Or was it the other way around?
Osteo and amputation in Dec 2015. Second, inoperable, primary osteosarcoma found in June 2017.
The end of our adventures came Dec 10, 2017. 2 years to the day.

Manni's blog -dogblog-

London, UK


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10 April 2017 - 5:11 am
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whatever happened to my favourite: the Hops Formular?

way-confused How d’you mean?

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Germany
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10 April 2017 - 5:13 am
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do you give it and is it working somewhat?

Guardian of Manni the Wonderdog. -Or was it the other way around?
Osteo and amputation in Dec 2015. Second, inoperable, primary osteosarcoma found in June 2017.
The end of our adventures came Dec 10, 2017. 2 years to the day.

Manni's blog -dogblog-

London, UK


Forum Posts: 1610
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10 April 2017 - 5:19 am
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Oh, sorry. You mean the Kaprex? Yes, I am giving it to Meg. And she has definitely been better in the last month than the one before, but it’s hard to know what this is the result of, the warm dry weather (certainly helps), the CBD oil (?) and/or the Kaprex (?). When we saw the rehab vet on Saturday, Meg’s spine was less knotted than previously and she definitely seems more comfortable. Guess I’ll just keep chucking everything at her…

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Germany
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10 April 2017 - 5:47 am
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That’s what I do, too. Never knowing what actually helps. I also find that I have a huge problem in knowing if Manni is actually a)in pain or b)being lazy or c)just very warm due to the weather. Any tips on that? I mean I know that Meg is more of an energy bundle than Manni is nowadays so maybe it is easier with her? or do you find that too?

Guardian of Manni the Wonderdog. -Or was it the other way around?
Osteo and amputation in Dec 2015. Second, inoperable, primary osteosarcoma found in June 2017.
The end of our adventures came Dec 10, 2017. 2 years to the day.

Manni's blog -dogblog-

London, UK


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10 April 2017 - 6:07 am
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Not really, no. Or just being contrary, which is always highly probable with Meg. She is a bloody minded Megastar at the best of times.

In warm weather, we walk very early in the morning, as the heat definitely slows her down, with the greater exertion of three-legged hopping. As for being in pain or discomfort versus being lazy/contrary, this I do find difficult. For example, Meg has always insisted for her early morning walk that Elsie goes out to the car first, while she lies and waits and watches, and then I come back and personally accompany her to the car separately, and walking behind her. She seems to find this arrangement amusing. Now, if she is reluctant to get up, I wonder if it is her just dragging the whole thing out, or if she is actually reluctant to walk because she is in discomfort. Once walking, she seems absolutely fine, but I do find that on damp days she is particularly slow starting. Sometimes she doesn’t come outside at all, just watches from the window on the stairs while Elsie goes out and gets in the car. Then I have to go back in and ask her whether she wants to come, at which her tail starts wagging and I swear to Dog she is laughing at me. 

So…. I totally understand your question and I don’t really have an answer. I find our visits to the rehab vet reassuring in this respect because she is able to read Meg so well by running her hands over her etc. I also now keep a diary of Meg’s mobility to try and see if there is any pattern (weather, time since last acupuncture, previous day’s exercise etc.)

How about you?

heart

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Germany
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10 April 2017 - 6:21 am
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difficult. the rehab vet, or PT in our case is equally important to us I think. Manni used to be like Meg, he used to run like the wind, full of energy, hunting for about every moving object and so on. That was on four. Nowadays he just sits down in between but not generally because he’s exhausted. Sometimes he does that a few yards from the car/house/whatever. He’s always been a stubborn thing so it’s entirely possible that he would just rather go the other way, or the other direction. It’s just really hard to tell. When he was on metacam a few weeks ago it wasn’t a huge improvement, but still, hard to tell. People (including the PT) always tell me: well, you know, he’s gotten older, too. And I agree somewhat but it’s not like you hit a switch when they turn ten and bam! they’re old.

So yeah. difficult.

Guardian of Manni the Wonderdog. -Or was it the other way around?
Osteo and amputation in Dec 2015. Second, inoperable, primary osteosarcoma found in June 2017.
The end of our adventures came Dec 10, 2017. 2 years to the day.

Manni's blog -dogblog-

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